Active NPI
Kenneth L Zinn, MD
- Internal Medicine Physician
- Ipswich, MA
National Provider Identifier
1700890241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 40320
- Practice address
- 36 Essex Rd
Ipswich, MA 01938-2599 - Phone
- (978) 356-5522
- Fax
- (978) 356-0218
- NPI assigned
- Jul 28, 2006
- Last updated
- Nov 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 40320 | MA | Primary |
Addresses
Primary practice location
36 Essex Rd
Ipswich, MA 01938-2599
Mailing address
36 Essex Rd
Ipswich, MA 01938-2599
Phone (978) 356-5522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2068788 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40320 | MA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1700890241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 ESSEX RD",
"city": "IPSWICH",
"state": "MA",
"postal_code": "019382599",
"telephone_number": "978-356-5522",
"fax_number": "978-356-0218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 ESSEX RD",
"city": "IPSWICH",
"state": "MA",
"postal_code": "019382599",
"telephone_number": "978-356-5522",
"fax_number": "978-356-0218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINN",
"first_name": "KENNETH",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "40320",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2068788",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ipswich, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.